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Doctors are helping patients find ways to lower drug costs, sometimes prescribing more potent dosages that can be taken every other day. Others are maintaining databases to help patients determine whether lower-cost alternatives or generic drugs are available that will be just as effective as a costly prescription. Physicians also are directing low-income patients to reduced-cost programs offered by the drug companies themselves, and advising patients about when shopping for Canadian drugs might offer savings.

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A KPMG analyst warns that government efforts to address childhood obesity may mean changes in food packaging that could cost the industry millions of dollars. Previous mandated nutritional label changes cost food companies $850 million to implement, reports say. Meanwhile, a Technomics consultant says marketers should expect changes in rules for ads aimed at children, predicting that some ads may be banned altogether.

Between big-box discount chains and upscale natural foods markets lies the bulk of the grocery industry, with many chains trying to remain relevant in a crowded market. But analysts say chains such as Publix and Wegmans (both nonunion) are focusing on customer service and knowledgeable employees instead of trying to beat Wal-Mart's low prices.

The report from the Institute of Medicine argues the government should mandate supplement makers increase their reporting of incidents in which their products harm people taking the herbs, minerals and weight-loss products. Under the 1994 Dietary Supplement Health and Education Act, companies making supplements are not required to submit such information, and some feel supplement makers will fight any increase in reporting requirements.

Giant Food said it will begin carrying Fair Trade Certified coffee sold under the brand name Cafe JaVaNa at its Giant and Super G stores. Fair Trade Certified coffee, most of which is organically produced, is purchased from farmers who are paid a fair price.

Wrigley's purchase of the Joyco gum and confectionery units will boost the company's presence in several international markets, especially across Europe and China. While still the largest manufacturer of chewing gum in the world, Wrigley is competing against Nestle and Colgate-Palmolive.